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OMS Frameworks ©️ Arthritis and Infection Quiz
Which of these are key features in the acute management of this patients (Step 5)? (Choose 2)
A
Anlagesia
B
Empirical Antibiotics
C
Rinse the wound with normal saline in the ward
D
Prophylactic Antibiotics
E
Stop all diabetic medications
Patient just underwent this procedure. What are the key features of post-operative management? (You can choose more than 1 option)
A
DVT Prophylaxis
B
Prophylactic Antibiotics
C
Empirical Antibiotics
D
Knee aspiration
E
Wheel chair mobilization
What does "mechanical pain" mean?
A
Pain that is better with stair climbing
B
Pain that is worse on movement
C
Pain that gets better after warming up
D
Pain that resolves with analgesia
E
Pain that is worse after prolonged rest
Which of these conditions should NOT present with inflammatory type pain?
A
Patella tendonintis
B
Plantar Fasciitis
C
Ankle Osteoarthritis
D
Rheumatoid Arthritis
E
Ankylosing Spondylitis
Which of these statements are true about neurogenic claudication?
A
Pain is better when leg is in a dependant position
B
Pain gets better with patient resting while standing
C
Pain is better when spine is extended
D
Pain is better when patients walks uphill
E
Pulses should be well felt
What is the utility of a knee aspiration (knee tap) in a patient with an acutely swollen knee with fever?
A
Diagnostic and Therapeutic
B
For better imaging as the fluid can cast a shadow
C
Inject antibiotics at the same time
D
Reduces swelling only
E
Prevent infection
What is the main difference between skin grafts and skin flaps?
A
Skin flaps contract more
B
Skin flaps have its own blood supply
C
Skin grafts are ideal for areas with exposed bone
D
Skin grafts are ideal over joints as they contract less
E
Skin grafts are technically more challenging
Patient with knee pain sees you for the FIRST time in the clinic. How will you manage this patient with this XR?
A
Non operative with pharmacological and non pharmacological interventions
B
Intra-articular injection
C
Total Knee Replacement
D
High tibial Osteotomy
E
Uni-compartmental Knee Replacement
Patient has been referred to you for severe pain in the right lower limb with fever. What will you do next?
A
Inform them that you will review tomorrow
B
Stabilize and refer senior immediately, consideration for immediate fasiectomy
C
Discharge patient as this is common bruising
D
Request for MRI scan
E
Withhold antibitoics to increase culture yield
What will you indicate in the notes for a patient after a knee aspiration?
A
"Soft Diet"
B
"NBM until fluid cultures results out"
C
"NBM until crystals results out"
D
"NBM until Gram stain and cell count results out"
E
"Allow diet of choice"
What is the role of "negative pressure dressings" or "vacuum dressing" in orthopaedics?
A
Prevent keloid formation
B
Aids in secondary wound healing or for temporary wound dressing
C
Negative pressure provides a low oxygen environment
D
Helps in fracture healing
E
Useful for patients living in high altitude
Patient underwent incision and drainage of an abscess. What kind of antibiotics may you potentially change to after the surgery?
A
Empirical Antibiotics
B
Prophylactic Antibiotics
C
Culture directed Antibiotics
D
Nosocomial Antibiotics
E
Iatrogenic Antibiotics
Which is the most common causative organism for septic arthritis?
A
Fungus
B
Streptococcus
C
Salmonella
D
Neisseria gonorrhea
E
Staphylococcus Aureus
How will you prevent deep vein thrombosis in a patient after this surgery? (Choose 3)
A
Early mobilization
B
Vein Stripping
C
Pharmacological methods - Aspirin, Clexane
D
Straight Leg Raises
E
Calf pumps
F
Incentive Spirometry
❌ Wrong Answer. Try again.